老年人衰弱预防与延迟或逆转干预的证据总结  

Interventions to prevent,delay or reverse frailty in the elderly:evidence summary

作　　者：罗宝林 罗泽槟 陈森芸 谢晓琪 徐燕[2] 施楚君[1] Luo Baolin;Luo Zebin;Chen Senyun;Xie Xiao qi;Xu Yan;Shi Chujun(Medical College of Shantou University,Shantou 515041,China)

机构地区：[1]汕头大学医学院护理系,广东汕头515041 [2]汕头大学医学院第一附属医院

出　　处：《护理学杂志》2021年第14期32-37,共6页Journal of Nursing Science

摘　　要：目的总结并评价老年人衰弱预防、延迟或逆转干预的相关证据,为临床实践提供循证依据。方法根据“6S”证据模型,自上而下检索国内外相关数据库中有关老年人衰弱预防、延迟或逆转干预的相关证据,包括指南、专家共识、证据总结和系统评价。并由2名研究者对所纳文献进行质量评价、证据提取及汇总。结果共纳入16篇文献,包括4篇指南,1篇专家共识,2篇证据汇总和9篇系统评价。从运动干预、营养干预、多因素干预、用药管理、老年评估及健康教育等6个方面共总结30条证据。结论证据使用者应结合机构环境和患者意愿,合理选择证据进行转化及应用,为衰弱老年人提供个性化的干预方案。Objective To summarize and evaluate the relevant evidence of interventions to prevent,delay or reverse frailty in the elderly,and to provide evidence-based reference for clinical practice.Methods Following the 6S Evidence Pyramid model,the relevant evidence of prevention,delaying or reversing frailty in the elderly were searched,including guideline,expert consensus,evidence summary and systematic review.Quality of the included literature was evaluated by two researchers,and the evidence was extracted and summarized.Results Sixteen publications including 4 guidelines,1 expert consensus report,2 evidence summary reports and 9 systematic reviews were eligible.Thirty pieces of evidence were summarized from 6 aspects:exercise intervention,nutrition intervention,multifactorial intervention,pharmaceutical administration,geriatric assessment and health education.Conclusion Evidence users should consider clinical environment and patients′preferences to reasonably select evidence for transformation and application,thus to provide personalized interventions for the frail elderly.

关 键 词：老年人 衰弱 预防 延迟 逆转 运动 营养 证据总结 

分 类 号：R473.2[医药卫生—护理学]